Provider Demographics
NPI:1164707048
Name:GUERRA, DAVINA RENEE (SLPA)
Entity Type:Individual
Prefix:MISS
First Name:DAVINA
Middle Name:RENEE
Last Name:GUERRA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5083 FOXBRIDGE CIR N APT 257
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3273
Mailing Address - Country:US
Mailing Address - Phone:727-580-1391
Mailing Address - Fax:
Practice Address - Street 1:5083 FOXBRIDGE CIR N APT 257
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3273
Practice Address - Country:US
Practice Address - Phone:727-580-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
TX360972355S0801X
FLSI51412355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist